Ngabe Kubukeka Kanjani Ukushada Ngaphandle?

-Delile

• Izimpawu zokuphuphuma kwesisu
• Ngabe ukuphuma kwegazi ekuphumeni kwesisu kubukeka kanjani?
• Ngabe ukukhishwa kwesisu okungabanjwanga kubukeka kanjani?
• Kuphuma isikhathi esingakanani ukuphuma kwegazi ekuphumeni kwesisu?
• Ungawutshela kanjani umehluko phakathi kokuphuphuma kwesisu nesikhathi
• Ungalufuna nini usizo
• Ukukhishwa kwesisu okungaphelele
• Ukuphuphuma kwesisu okusongelwayo
• Ungakhulelwa kanjani ngokuphepha futhi ngemuva kokuphuphuma kwesisu?
• Ngabe ngizophinda ngikhiphe isisu?
• Umbono

Izimpawu zokuphuphuma kwesisu

Ukukhulelwa kwesisu ukulahlekelwa kokukhulelwa okuzenzakalelayo ngaphambi kwamasonto angama-20 okukhulelwa. Ukukhulelwa okwaziwayo okungamaphesenti ayisishiyagalombili kuya kwangu-20 kuphelela ekukhulelweni kwesisu, iningi lenzeka ngaphambi kwesonto le-12.

Izimpawu nezimpawu zokukhulelwa kwesisu ziyahlukahluka kuye ngomuntu. Izimpawu zingahluka futhi kuye ngokuthi ukude kangakanani.Isibonelo, umbungu emasontweni ayi-14 uzoba mkhulu kakhulu kunombungu emasontweni ama-5 okukhulelwa, ngakho-ke kungaba nokopha okuningi nokulahleka kwezicubu ngokuphuphuma kwesisu kamuva.

Izimpawu zokukhulelwa kwesisu zingabandakanya:

• ukubona noma ukuphuma kwegazi esithweni sangasese
• ukuqunjelwa esiswini noma ubuhlungu emhlane ongezansi
• ukudlula kwezicubu, uketshezi, noma eminye imikhiqizo evela esithweni sangasese

Funda ukuze ufunde kabanzi mayelana nokuhlonza ukuphuphuma kwesisu nokuthi yini okufanele uyenze uma usola ukuthi uhlangabezana nayo.

Ngabe ukuphuma kwegazi ekuphumeni kwesisu kubukeka kanjani?

Ukopha kungaqala njengokukhanya okulula, noma kungasinda futhi kubonakale njengokugeleza kwegazi. Njengoba umlomo wesibeletho usenabela ekungenalutho, ukuphuma kwegazi kuba nzima.

Ukopha okusinda kakhulu kuphele kungakapheli amahora amathathu kuya kwamahlanu kusukela lapho kuqala ukopha kakhulu. Ukopha okuncane kungama bese kuqala ngaphezu kwesonto elilodwa kuya kwamabili ngaphambi kokuthi kuphele ngokuphelele.

Umbala wegazi ungasuka kokuphinki kuye kobomvu kuya konsundu. Igazi elibomvu yigazi elisha elishiya umzimba ngokushesha. Ngakolunye uhlangothi, igazi elinsundu, yigazi ebelisesibeletho isikhashana. Ungabona ukukhipha umbala wezindawo zekhofi, noma eduze komnyama, ngesikhathi sokuphuphuma kwesisu.

Empeleni ukuthi ukuphuma kwegazi okuzovela kuwe kuncike ezimweni ezahlukahlukene, kufaka phakathi ukuthi ukude kangakanani nokuthi ukuphuphuma kwesisu kuqhubeka ngokwemvelo noma cha.

Ngenkathi ungabona igazi eliningi, yazisa udokotela wakho uma ugcwalisa amaphedi wokuhlanza angaphezu kwamabili ngehora amahora amabili noma ngaphezulu ngokulandelana.

Ngabe ukukhishwa kwesisu okungabanjwanga kubukeka kanjani?

Ungase ungaboni ukuphuma kwegazi noma ezinye izimpawu ngokukhulelwa kwesisu, okungenani ekuqaleni.

Ukuphuphuma kwesisu okungabanjwanga, okubizwa nangokuthi isisu esilahlekile, kwenzeka lapho umbungu ushonile kepha imikhiqizo yokukhulelwa ihlala esibelethweni. Lolu hlobo lokukhulelwa kwesisu luvame ukutholakala nge-ultrasound.

Kuphuma isikhathi esingakanani ukuphuma kwegazi ekuphumeni kwesisu?

Njengoba nenani legazi ozo libona, ubude besikhathi sokuphuphuma kwesisu buzohluka kuye ngomuntu kuye ngisho nokukhulelwa kuye ekukhulelweni.

Ezimweni eziningi, ukukhulelwa kwesisu kuzothatha cishe amasonto amabili ukudlula ngokwemvelo. Udokotela wakho angakunikeza umuthi i-misoprostol (Cytotec) ukusiza ukukhulelwa kwesisu kudlule ngokushesha okukhulu. Ukopha kungaqala zingakapheli izinsuku ezimbili uqale umuthi. Kwabanye, kungathatha kuze kube amasonto amabili.

Lapho isisu sesiqalile, izicubu kanye nokopha okusinda kakhulu kufanele kudluliswe cishe emahoreni amathathu kuya kwamahlanu. Ngemuva kokuthi umbungu usudlulile, usengathola ukulahleka kwezicubu okuncane kanye nesonto elilodwa kuya kwamabili.

Ungawutshela kanjani umehluko phakathi kokuphuphuma kwesisu nesikhathi

Kungaba nzima ukutshela ukukhulelwa kwesisu kusenesikhathi. Eqinisweni, ukukhipha izisu okuningi kwenzeka ngaphambi kokuba umuntu azi nokuthi ukhulelwe.

Ngokuvamile, ukukhulelwa kwesisu kuzodala izimpawu ezinamandla kakhulu kunokuya esikhathini. Ngokwesibonelo:

• Ukuhamba kwakho kokuya esikhathini kungahle kufane inyanga nenyanga ngezinsuku ezisindayo nezinsuku ezilula. Ukukhulelwa kwesisu nakho kungaba nezinsuku ezisindayo nezilula, kepha ukuphuma kwegazi kungaba nzima kakhulu kwesinye isikhathi futhi kuhlale isikhathi eside ukwedlula okujwayele.
• Ukopha okuphuma ekuphuphumeni kwesisu nakho kungaqukatha amahlule amakhulu nezicubu ongazivami ngokujwayelekile ngesikhathi sakho.
• Amajaqamba angaba yingxenye yomjikelezo wakho ojwayelekile wanyanga zonke, kepha ngokuphuphuma kwesisu, angaba buhlungu kakhulu njengoba umlomo wesibeletho uvuleka.
• Umbala wegazi ngesikhatsi sakho ungahluka kusuka kubomvana kuye kubovu kuya kunsundvu. Uma ubona umbala ongajwayele ukuwubona, kungaba uphawu lokuphuphunyelwa yisisu.

Ungalufuna nini usizo

Njalo xhumana nodokotela wakho uma ukhulelwe futhi uhlangabezana nokopha. Ngenkathi ukuphuphunyelwa yisisu kungeke kumiswe uma kuqala, wena dokotela ungasebenzisa izivivinyo ukusiza ukuthola ukuthi ngabe ubhekene nokulahlekelwa ukukhulelwa kwakho noma yini enye.

Ukuxilonga ukuphuphuma kwesisu, udokotela wakho kungenzeka enze i-ultrasound ukubheka ukushaya kwenhliziyo kwengane, uma ukude ngokwanele ukubona ukushaya kwenhliziyo. Udokotela wakho angaphinde ayalele ukuhlolwa kwegazi ukuhlola amazinga womuntu we-chorionic gonadotropin (hcG) ukubona ukuthi ayakhuphuka noma awe.

Uma ukukhulelwa kwesisu kuqinisekisiwe, udokotela wakho angaphakamisa "ukuphathwa okulindelekile" noma ukulinda ukuthi isisu sidlule ngokwemvelo. Lokhu kwenzeka kakhulu kungakapheli amasonto amabili.

Ukukhishwa kwesisu okungaphelele

Ukukhulelwa kwesisu kungahle kungaphelele uma:

• ukopha kwakho kusinda ikakhulukazi
• unomkhuhlane
• i-ultrasound yembula ukuthi kusekhona izicubu esibelethweni sakho

Uma kunjalo, udokotela wakho angase asikisele ukwehliswa nokwelashwa (D no-C), okuyindlela yokuhlinza eyenziwe ukususa izicubu ezisele. Inqubo yenziwa ngaphansi kwe-anesthesia ejwayelekile noma yesifunda, futhi ithathwa njengephephile. I-D ne-C azivame ukuholela ezinkingeni zesikhathi eside.

Ukuphuphuma kwesisu okusongelwayo

Kubalulekile ukubika noma yikuphi ukopha noma ubuhlungu obuzwayo ekukhulelweni kwakho kudokotela wakho. Kwezinye izimo, ungaba nalokho okubizwa ngokuthi ukukhulelwa kwesisu okusongelwayo, futhi kungahle kube nokwelashwa okuthile okungasiza. Lokhu kufaka phakathi:

• ama-hormone supplements uma ukopha kubangelwa yi-progesterone ephansi
• i-cerclage (thunga emlomo wesibeletho) uma inkinga ikumlomo wesibeletho uvuleka ngaphambi kwesikhathi

Ungakhulelwa kanjani ngokuphepha futhi ngemuva kokuphuphuma kwesisu?

Khuluma nomhlinzeki wakho wezokunakekelwa kwezempilo uma ufuna ukukhulelwa futhi ngemuva kokukhulelwa kwesisu. Yize kungaphepha ukuqala ukuzama ngemuva kwesikhathi sakho esijwayelekile sokuqala, ungahle uthande ukuhlela ukuhlolwa ngokuya ngesizathu noma inani lezisu oke waba nazo.

Isizathu sokulahleka asaziwa ngaso sonke isikhathi, kepha cishe uhhafu wokukhulelwa kwesisu kubangelwa izingqinamba ngama-chromosomes womntwana.

Ezinye izimbangela kungenzeka zifaka:

• izingqinamba zesibeletho
• ukungalingani kwe-hormonal
• ezinye izimo zezempilo, njengesifo sikashukela, izifo ezizimele, noma i-polycystic ovary syndrome

Ngemuva kokuphuphuma kwesisu, ungaba ne-hcG egazini lakho inyanga eyodwa kuya kwezimbili, okungaholela ekuhlolweni kokukhulelwa okungelona iqiniso. Ezimweni eziningi, isikhathi sakho sizobuya kungakapheli amasonto amane kuya kwayisithupha, noma ungaqala ukuvuthwa ngokushesha ngemuva kokukhulelwa kwesisu.

Khuluma nodokotela wakho ngezinketho zokulawula ukubeletha uma ungafisi ukukhulelwa ngemuva kokukhulelwa kwesisu.

Ngabe ngizophinda ngikhiphe isisu?

Ukuba nesisu esisodwa akukhulisi amathuba akho okuba nomunye. Ubungozi buhlala cishe ngamaphesenti angama-20.

Ukukhishwa kwesisu okubili noma ngaphezulu kubhekiswa njengokulahleka kokukhulelwa okuphindaphindwayo (RPL). Ubungozi bokukhulelwa kwesisu ngemuva kokulahlekelwa kabili ngamaphesenti angama-28. Ngemuva kokulahlekelwa okulandelanayo kathathu, kuyanda kube ngamaphesenti angama-43.

Amaphesenti ayi-1 kuphela wabantu abhekana nokukhulelwa kwesisu kathathu noma ngaphezulu. Cishe amaphesenti angama-65 alabo abane-RPL engaqondakali baqhubeka nokukhulelwa okuphumelelayo.

Umbono

Imisebenzi efana nokuzivocavoca umzimba, ukusebenza, ukugula kwasekuseni, nocansi azibangeli ukuphuphuma kwezisu. Ngisho nezinto ezifana nokubhema noma ukuphuza utshwala noma i-caffeine, okungaholela kwezinye izinkinga, akunakwenzeka nokuthi kuholele ekulahlekelweni kokukhulelwa kusenesikhathi.

Ukuphuphunyelwa yisisu kungaba buhlungu emzimbeni, futhi kungadala nemizwelo ehlukahlukene. Ngenkathi umzimba wakho ungalulama emasontweni ambalwa, qiniseka ukuthatha isikhathi ukucubungula imizwa yakho, ukudabuka, nokufinyelela usizo lapho uludinga.